Individual
JOSH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5042 RUGGLES ST, OMAHA, NE 68104-3021
(402) 401-0700
Mailing address
5042 RUGGLES ST, OMAHA, NE 68104-3021
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/14/2025
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